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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />iO- <br /> <br />OWNER'S NAKE d;i.ri r i il", ll\t:'l.~ <br /> <br />/.-, , , 'S', {~'.(', L, '"\ <br />/ / I, I' It (I ^ \ <br />i t d f l~,- .!.. / , '''', (/ I <br />'-. <br /> <br />PHONE <br /> <br />7/)~ ~ ~>f2. <br /> <br />OWNER'S ADDRESS r:- ~/.I L I}I../ LJi T 5 ( . <br /> <br />:z- L-=-J.4yP/1 ,) h 38,) - ;/cJ <br /> <br />JOB ADDRESS <br /> <br />S:4 ""''\. t' <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL LD.'X <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction .....l..-Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />-LDeaolish S:rf,n} l:'J':;: y' J <br /> <br />PROPOSED USE: ___S ingle Family <br /> <br />_M/F <br /> <br />_, of Units (-~.-;/U\ <br />.--' <br />".-- <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swim. Pool _Other <br /> <br />Restaurant & Health Departaent Approval <br />1 " '-., <br />!Vlct'lf [-P,l-t fl.'''''/< f/~.-r 1'- (;1-'':t?/.-ll~ISrli:f''(<!1''''(''.rrl flt-/1 A~.~' /.j4tn,.l-c'!:'t'- <br />DESCRIPTION OF WORK: (tJ/...' r. rl!.iiLr C>I.H.l t(},,- tti..4L. ~ ~':'l ( !. ') .'...' 51 IJ'-Uc '.f ")"'~'" g'1t/; h ' <br />IN~rA'(- ":.'t/'i./J. (:'-I.l"',,,'{-:J:f'P..-'.'tJ" -e,.) t:'A~Lh,...L(S' ,:').(c:- ~& ~~ AI <br />BUILDING SIZE: q::.:" X 1'1/, ';'t,"' Square Feet,' /f" Height of ~~fI-;j ~L~ 1/1 <br />. r:J , /-02--/-17 TI~ <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />jt ,,' <br />ritai.i'x'") . <br />:= /,f,:. .'- (t-t <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />.-MEGHARlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUlLD~ COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />ELECTRICIAR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />****************************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />